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原发性肝癌(肝癌)被误诊为其他疾病的情况在临床上常有发生,而其他疾病被误诊为肝癌则报道较少,而甲胎蛋白(AFP)高浓度持续阳性在临床上被误诊为肝癌的报道更少。本文将AFP高浓度持续阳性经手术探查证实为非肝癌2例报告于后。例1:男,41岁。1974年12月4日肝癌无症状普查发现AFP对流法(+),血凝法1:1000+,火箭电泳>1000毫微克/毫升;1974年12月20日复作血AFP对流法(+),血凝法1:10004kt,火箭电泳>1000毫微克/毫升;1974年12月31日复作血AFP对流法(+),血凝法1:8000,火箭电泳>1000毫微克/毫升,转氨酶、锌浊均正常,体查:一般情况好,肝上界第六肋间,肋下1厘米,剑突下1.5厘米,质地中等,表面光滑无压痛,脾未及,超声波肝脏未见丛状波,X线透视右侧横膈未见异常,临床诊断为原发性肝癌单纯型Ⅰ期。于1975年1月2日在静脉复合麻醉下剖腹探查发现肝右
It is often the case that primary liver cancer (liver cancer) is misdiagnosed as other diseases, but other diseases are misdiagnosed as liver cancer. However, the high concentration of alpha-fetoprotein (AFP) continues to be positive and clinically misdiagnosed as There are fewer reports of liver cancer. This article will be AFP high concentration of continuous positive exploration confirmed non-hepatoma in 2 cases reported later. Example 1: Male, 41 years old. December 4, 1974 Liver cancer asymptomatic survey found AFP convection (+), hemagglutination 1:1000+, rocket electrophoresis >1000 ng/ml; December 20, 1974 duplicate blood AFP convection (+) Hemagglutination 1:10004kt, rocket electrophoresis >1000 ng/ml; December 31, 1974, duplicate blood AFP convection (+), hemagglutination 1:8000, rocket electrophoresis >1000 ng/ml, transaminase , zinc turbidity is normal, physical examination: the general situation is good, the liver of the sixth intercostal space, 1 cm under the ribs, xiphoid 1.5 cm, medium texture, smooth surface without tenderness, no spleen, ultrasonic liver without plexiform Waves and X-rays showed no abnormalities on the right side of the diaphragm. The clinical diagnosis of primary hepatocellular carcinoma was simple type I. On January 2nd, 1975, he underwent laparotomy under intravenous anesthesia and found liver right